اعظم سعیدی کیا

Chronic renal failure directly and indirectly changes the quality of life of the patients. To maintain the quality of life, self-efficacy plays an effective role. Investigation of the relationship among stress, quality of life, and self-efficacy can help nurses to apply suitable ways to improve the quality of life of patients. Therefore, the present study aimed to determine the severity of stress and its relationship with self-efficacy and quality of life in hemodialysis patients in Imam Khomeini Hospital in Shirvan, Iran.

This cross-sectional correlational study was carried out on 77 hemodialysis patients in 2022. The research tools included demographic characteristics and quality of life questionnaire, alongside human stress and general self-efficacy measurements. The collected data were analyzed in SPSS software (version 19).

Mean age and weight of the participants were 56.5 ± 14.73 years and 66.48 ± 17.15 Kg, respectively. Moreover, 59.7% of the patients were male and 41.6% of them performed dialysis for 1-3 years. There was a significant relationship between the mean stress score and score of some dimensions of quality of life (P<0.05). However, there was no significant relationship between the mean score of stress and self-efficacy. In addition, there was no significant relationship between the average of self-efficacy score and some dimensions of quality of life (P≥0.05).

According to the results, the quality of life of hemodialysis patients improves by reducing the stress intensity. Meanwhile, people who have a higher level of self-efficacy experience less stress. Therefore, the effort of the treatment staff is to identify the aggravating factors and use suitable interventions to reduce them with the aim of improving the quality of life of patients.

Schools and universities in China were closed to prevent further spread of the virus as the coronavirus began to spread. And virtual education replaced face-to-face education. The use of virtual education alone faced challenges that affected its attitude, satisfaction and effectiveness. Therefore, this research was conducted with the aim of investigating the attitude, satisfaction, effectiveness and challenges of virtual education from the perspective of nursing and midwifery students of North Khorasan University of Medical Sciences during the Covid-19 pandemic.

Methods & Materials:

This cross-sectional research was conducted with the participation of 177 nursing and midwifery students of North Khorasan University of Medical Sciences. The tools used included: demographic information questionnaires, measuring attitude, satisfaction and effectiveness of virtual education. Data were analyzed with spss software version 19, Kruskal-Wallis and Mann-Whitney statistical tests at a significance level of 0.05.

In this research, there were 126 female participants (73.3%) with an average age of 27.22±2.6. The average score of attitude, satisfaction, effectiveness and challenges of virtual education from the students' point of view were respectively, 11.84 ± 3.34; 13.59 ± 5.21; 16.94 ± 5.75 and 25.37 ± 5.81. A statistically significant relationship was found between the average score of attitude with satisfaction, effectiveness, and also the average score of satisfaction with the effectiveness of virtual education. (p<0.05)

The use of virtual education, as a new educational method, has faced many challenges; Considering the low level of its effectiveness, it is possible to improve the attitude, satisfaction and effectiveness of virtual education by strengthening the infrastructure.